| Entity Name: | GENE WINDOM, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
GENE WINDOM, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Aug 2004 (21 years ago) |
| Document Number: | P04000122904 |
| FEI/EIN Number |
201535507
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 12302 ROPER BLVD, UNIT 106 & 107, CLERMONT, FL, 34711 |
| Mail Address: | 12302 ROPER BLVD, UNIT 106 & 107, CLERMONT, FL, 34711 |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144334889 | 2006-08-19 | 2023-03-07 | 12302 ROPER BLVD, UNIT 106 & 107, CLERMONT, FL, 347118515, US | 12302 ROPER BLVD, UNIT 106 & 107, CLERMONT, FL, 347118515, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 352-243-6340 |
| Fax | 3522436596 |
Authorized person
| Name | MR. GENE WINDOM |
| Role | PRESIDENT |
| Phone | 3522436340 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | PH22192 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031651200 |
| State | FL |
| Issuer | NCPDP # |
| Number | 1020558 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENE WINDOM INC 401K PLAN | 2013 | 201535507 | 2014-06-26 | GENE WINDOM INC | 2 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2014-06-26 |
| Name of individual signing | GENE WINDOM |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 3522436340 |
| Plan sponsor’s address | 12221 REBECCAS RUN DR, WINTER GARDEN, FL, 34787 |
Signature of
| Role | Plan administrator |
| Date | 2014-06-26 |
| Name of individual signing | GENE WINDOM |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2012-01-01 |
| Business code | 446110 |
| Sponsor’s telephone number | 3522436340 |
| Plan sponsor’s address | 12221 REBECCAS RUN DR, WINTER GARDEN, FL, 34787 |
Signature of
| Role | Plan administrator |
| Date | 2014-04-16 |
| Name of individual signing | GENE WINDOM |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| WINDOM GENE | President | 12221 REBECCA'S RUN DRIVE, WINTER GARDEN, FL, 34787 |
| WINDOM GENE | Agent | 12221 REBECCA'S RUN DRIVE, WINTER GARDEN, FL, 34787 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-05-01 | WINDOM, GENE | - |
| CHANGE OF PRINCIPAL ADDRESS | 2007-05-01 | 12302 ROPER BLVD, UNIT 106 & 107, CLERMONT, FL 34711 | - |
| CHANGE OF MAILING ADDRESS | 2007-05-01 | 12302 ROPER BLVD, UNIT 106 & 107, CLERMONT, FL 34711 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-09-01 |
| ANNUAL REPORT | 2015-03-24 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
